Characteristics Of Patients With Uterine Myoma Who Are Hospitalized At Santa Elisabeth Hospital Medan In 2011-2015

Characteristics of Patients with Uterine Myoma who are Hospitalized at Santa Elisabeth Hospital Medan in 2011-2015

Introduction

Uterine myoma, a common pelvic tumor in female reproductive organs, affects millions of women worldwide. According to the World Health Organization (WHO), more than 585,000 people die every year due to this condition. In this study, we aim to determine the characteristics of patients with uterine myomas who were hospitalized at Santa Elisabeth Hospital Medan during the 2011 to 2015 period.

Research Methods

The type of research conducted is descriptive with a case series design. The research population consists of all patients who are hospitalized with a diagnosis of myoma uteri at Santa Elisabeth Hospital Medan, which amounts to 237 data. The sample taken has the same amount as the population. For data analysis, several statistical methods are used, namely Chi-Square, Kruskal-Wallis, and Mann-Whitney tests.

Research Result

The results showed that most people with uterine myoma were in the age group 40-49 years, reaching 59.1%. The majority of patients come from the Batak tribe (83.5%) and adhere to Protestant Christianity (59.1%). The most common work is housewives (36.3%) with marriage status reaching 78.9%. In addition, 54% of patients live in the city of Medan. Other results show that 97.5% of patients experience menstruation, 62.9% have a myoma diameter of more than 5 cm, and 79.7% is diagnosed with intramural myoma. As many as 48.1% of patients reported abnormal bleeding, and the most common medical action was hysterectomy (73.8%). The average length of patient care is 7 days, with 90.3% returning home.

Further analysis shows a significant difference in myoma size based on complaints experienced by patients (p = 0.005). In addition, there are significant differences in the average length of treatment based on medical measures taken (p = 0,000) and conditions when returning from the patient (p = 0,000).

Recommendation

Based on the results of the study, it is hoped that the Santa Elisabeth Medan Hospital can complete the recording of patient medical records, specifically related to uterine myoma, such as information about parity, history of use of contraception, and the number of myomas. In addition, women in reproductive age who have risk factors for uterine myoma are advised to maintain health by applying a healthy diet and conducting routine checks. Early detection is an important step to deal with the possibility of uterine myoma effectively.

Importance of Uterine Myoma Research

Uterine myoma is a common condition that affects millions of women worldwide. Understanding the characteristics of patients with uterine myoma is crucial in improving the handling and prevention of this condition. By analyzing the data collected from the study, we can identify the risk factors and symptoms associated with uterine myoma, which can help in developing effective treatment plans and prevention strategies.

Limitations of the Study

The study has several limitations. Firstly, the sample size is relatively small, which may not be representative of the entire population. Secondly, the study only focuses on patients who were hospitalized at Santa Elisabeth Hospital Medan, which may not be representative of patients with uterine myoma in general. Finally, the study only collects data on patients who were diagnosed with uterine myoma, which may not be representative of patients who are asymptomatic or have mild symptoms.

Future Research Directions

Future research should focus on collecting data from a larger sample size and from different hospitals and clinics. Additionally, research should focus on identifying the risk factors and symptoms associated with uterine myoma, as well as developing effective treatment plans and prevention strategies. Furthermore, research should focus on understanding the genetic and environmental factors that contribute to the development of uterine myoma.

Conclusion

In conclusion, the study provides valuable insights into the characteristics of patients with uterine myoma who were hospitalized at Santa Elisabeth Hospital Medan during the 2011 to 2015 period. The results show that most patients were in the age group 40-49 years, came from the Batak tribe, and adhered to Protestant Christianity. The most common work was housewives, and the most common medical action was hysterectomy. The study also highlights the importance of early detection and routine checks in preventing and treating uterine myoma. Future research should focus on collecting data from a larger sample size and from different hospitals and clinics, as well as identifying the risk factors and symptoms associated with uterine myoma.

Keywords: Uterine myoma, Santa Elisabeth Hospital Medan, patient characteristics, research methods, research result, recommendation, importance of uterine myoma research, limitations of the study, future research directions, conclusion.
Frequently Asked Questions (FAQs) about Uterine Myoma

Q: What is uterine myoma?

A: Uterine myoma, also known as leiomyoma or uterine fibromioma, is a tumor that arises from smooth muscle cells in the uterine wall. It is a common condition that affects millions of women worldwide.

Q: What are the symptoms of uterine myoma?

A: The symptoms of uterine myoma can vary depending on the size and location of the tumor. Common symptoms include abnormal bleeding, pelvic pain, and pressure on the bladder or rectum. In some cases, uterine myoma may not cause any symptoms at all.

Q: What are the risk factors for uterine myoma?

A: The risk factors for uterine myoma include age, family history, and hormonal factors. Women who are over 40 years old, have a family history of uterine myoma, or are taking hormone replacement therapy (HRT) are at a higher risk of developing uterine myoma.

Q: How is uterine myoma diagnosed?

A: Uterine myoma is typically diagnosed through a combination of physical examination, medical history, and imaging tests such as ultrasound or MRI. In some cases, a biopsy may be performed to confirm the diagnosis.

Q: What are the treatment options for uterine myoma?

A: The treatment options for uterine myoma depend on the size and location of the tumor, as well as the patient's overall health. Common treatment options include watchful waiting, hormone therapy, and surgery. In some cases, hysterectomy (removal of the uterus) may be necessary.

Q: Can uterine myoma be prevented?

A: While there is no surefire way to prevent uterine myoma, there are some steps that women can take to reduce their risk. These include maintaining a healthy weight, eating a balanced diet, and getting regular exercise. Women who are taking HRT should also talk to their doctor about the risks and benefits of this treatment.

Q: What is the prognosis for women with uterine myoma?

A: The prognosis for women with uterine myoma is generally good, especially if the tumor is small and not causing any symptoms. However, in some cases, uterine myoma can lead to complications such as bleeding, infection, or infertility. Women with uterine myoma should work closely with their doctor to monitor their condition and prevent any potential complications.

Q: Can uterine myoma be cured?

A: In some cases, uterine myoma can be cured through surgery or other treatment options. However, in many cases, uterine myoma is a chronic condition that requires ongoing management and monitoring. Women with uterine myoma should work closely with their doctor to develop a treatment plan that meets their individual needs.

Q: How can women with uterine myoma manage their symptoms?

A: Women with uterine myoma can manage their symptoms by working closely with their doctor to develop a treatment plan that meets their individual needs. This may include watchful waiting, hormone therapy, or surgery. In some cases, women may also need to make lifestyle changes such as avoiding heavy lifting or bending, or taking regular breaks to rest and relax.

Q: What is the role of diet in managing uterine myoma?

A: While there is no specific diet that can cure uterine myoma, a healthy diet that is rich in fruits, vegetables, and whole grains can help to reduce the risk of developing this condition. Women with uterine myoma should also avoid foods that are high in sugar, salt, and unhealthy fats.

Q: Can uterine myoma be passed down to future generations?

A: While there is no direct link between uterine myoma and genetic inheritance, women who have a family history of uterine myoma may be at a higher risk of developing this condition. Women with a family history of uterine myoma should talk to their doctor about their individual risk factors and develop a treatment plan that meets their needs.

Q: What is the cost of treating uterine myoma?

A: The cost of treating uterine myoma can vary depending on the treatment options chosen and the individual needs of the patient. Women with uterine myoma should talk to their doctor about the costs associated with treatment and develop a plan that meets their financial needs.

Q: How can women with uterine myoma get support?

A: Women with uterine myoma can get support from their doctor, family, and friends. They can also join a support group or online community to connect with other women who are going through similar experiences. Women with uterine myoma should not be afraid to ask for help and support when they need it.